Science and technology

Treating cancer

Particle physic

FOR decades doctors have attacked cancer with drugs that kill malignant cells. Unfortunately, such chemotherapy kills a lot of healthy cells as well. In recent years, the use of drug-carrying particles a few nanometres across has improved matters. Such particles can be tailored to release their payloads only when the surrounding environment indicates that they are near a tumour, thus reducing collateral damage. Even that, however, has not proved perfect. Typically, only about 1% of the drugs packaged up in nanoparticles this way make it to their destination. Sangeeta Bhatia and Geoffrey von Maltzahn of the Massachusetts Institute of Technology, however, hope to change that. As they report in Nature Materials, they believe that by granting nanoparticles the ability to communicate with one another, the success of drug delivery can be increased fortyfold.

Dr Bhatia and Dr von Maltzahn were inspired by one of the body's natural communications systems: the way that injured tissue calls for help to stem bleeding. They wondered if they might be able to piggyback on this system to deliver drugs to tumours—and they found that they could.

When the body sustains an injury, molecules called notification proteins are produced at the site. These proteins communicate with clotting agents in the blood. In particular they round up cellular fragments called platelets, and also molecules of a soluble protein called fibrinogen, both of which circulate routinely in the bloodstream. The fibrinogen turns into an insoluble, filamentous protein called fibrin, which traps the platelets and causes them to link up into a quilt that helps stop bleeding.

The two researchers wondered if they could subvert this system to gather drug-carrying nanoparticles into the right place. To do so, they realised that they would need two types of nanoparticles. “Signalling nanoparticles” would function like notification proteins, marking the location where action was required. “Receiving nanoparticles” would then be recruited like platelets, but instead of staunching a wound they would deliver the drugs.

For the signalling nanoparticles the team used tiny golden rods. These tend to collect at the locations of tumours because the blood vessels which serve tumours often have unusual pores in them. These pores are between 100 and 200 nanometres in diameter—perfect for trapping the rods and thus marking the tumour. Once the rods were in place, the team fired a burst of laser light in the general location of the tumour. This light was tuned to be absorbed by gold and the energy in it was thus converted into heat only in places where the rods had accumulated. That damaged the surrounding tissue enough to activate the coagulation system.

The clever bit was that the receiving nanoparticles, which carried the pharmaceutical payload, were doped with protein fragments that bind to fibrin—and thus to the wound-staunching quilts that form when the heat from the nanorods does its work. Only then do they release their cargo.

The result, Dr Bhatia and Dr von Maltzahn report, is a delivery system 40-times more effective than using nanoparticles by themselves. Moreover, in mice, at least, it shrinks cancers more effectively than other nanoparticle-based treatments. Work on men (and women) should follow soon.

Readers' comments

Mind-boggling. I am all hopeful that science will take us there. A mere dacade or two ago, many cancers were instant death-sentences. There were no known treatments. Now the picture is very different. As a survivor of advanced cancer, now many years in remission, I am grateful I didn't have to die when I still had many items I hadn't scratched off on my "To Do" list. But I also recall the grueling experience in enduring the carpet bombing that was chemo. The progess in science is real.

The only thing that worries me about this approach is that the patient may have other areas where fibrin is accomplishing its designated task - I.E. stitching together wounds. Would this cause a hemophilia-like condition in chemotherapy patients where wounds would not properly heal? If they are using typical laboratory mice for the studies, they are generally very well taken care of and unlikely to have wounds where this effect would be noticable. I would assume that the researchers have made some attempt to answer this question.

It's a great idea and if it produces positive results, then it would be even more fantastic! It is very clever - fighting cancer not just by conventional medicine on its own but acting alongside the body itself. However, I can' help but think of 'Prey' by Michael Crichton.